| NPI | 1144509803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 275380) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 275380) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2023-03-21 |